Quality antecedents and performance outcome of cloud-based hospital information system continuance intention

Purpose This study's purpose is to propose an integrated model based on expectation-confirmation model (ECM), task-technology fit (TTF) model, and updated DeLone and McLean information system (IS) success model to examine whether quality factors and TTF as antecedents to physician beliefs can affect physicians' continuance intention of the cloud-based hospital information system (HIS) and performance impact. Design/methodology/approach Sample data for this study were collected from physicians at five hospitals in Taiwan. A total of 500 questionnaires were distributed, and 305 (61.0 percent) usable questionnaires were analyzed using structural equation modeling in this study. Findings This study verified that physicians' perceived information quality, system quality, general technical support service quality, and cloud storage service quality all positively caused their PU, confirmation, and perceived TTF in the cloud-based HIS, which together explained their satisfaction with the system, and subsequently led to their continuance intention of the system and performance impact. Originality/value First, IS-related and cloud-related quality factors are simultaneously taken into consideration within this study's research model, and empirical results reveal deep insights into quality evaluation in the field of physicians' cloud-based HIS continuance intention. Next, this study contributes to an understanding of TTF in explaining physicians' cloud-based HIS continuance intention that is difficult to explain with only their utilitarian perception of the system, and places emphasis upon physicians' perception of performance impact greatly driven by their perceived TTF and continuance intention of the system, thus the results can shed light on antecedents and outcome of physicians' cloud-based HIS continuance intention.